Individual
DR. LARRY D BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
PO BOX 714030, CINCINNATI, OH 45271-0001
(866) 684-1484
(614) 717-9845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34-00-5218B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000504001
ANTHEM
OH
05
—
0844251
—
OH
Enumeration date
08/24/2005
Last updated
01/22/2008
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